Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $36.31 / $41.69	Facility		$30.90	$36.31	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $61.66	Professional		$30.90	$39.81	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $162.18	Professional		$53.70	$87.10	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $125.89 / $141.25	Professional		$54.95	$125.89	$141.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $46.77 / $72.44	Facility		$38.90	$46.77	$72.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $54.95 / $223.87	Facility		$39.81	$54.95	$223.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $77.62 / $138.04	Professional		$51.29	$77.62	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $35.48 / $64.57	Professional		$32.36	$35.48	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $151.36	Professional		$79.43	$114.82	$151.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $331.13	Facility		$93.33	$93.33	$331.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $102.33	Professional		$81.28	$102.33	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $89.13 / $169.82	Professional		$51.29	$89.13	$169.82